COMMONWEALTH PEDIATRICS, PSC (NPI# 1982795431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982795431 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH PEDIATRICS, PSC |
| Practice Address |
1780 Nicholasville Rd Suite 301 Lexington KY 40503 |
| Practice Telephone | 8592776636 |
| Practice Fax Number | 8592771455 |
| Mailing Telephone | 8592776636 |
| Mailing Fax Number | 8592771455 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | AMANDA DENNISON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8592776636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | Other Service Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1780 NICHOLASVILLE RD SUITE 301 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615165 | James E O'neill | Obstetrics & Gynecology | 1780 Nicholasville Rd, Suite 202, Lexington, KY 40503-1400 | 2005-08-10 |
| 1932451085 | Baptist Physicians Lexngton, Inc | Obstetrics & Gynecology | 1780 Nicholasville Rd, Suite 403, Lexington, KY 40503-1400 | 2012-10-12 |
| 1821361999 | Baptist Physicians Lexington, Inc | Internal Medicine | 1780 Nicholasville Rd, Suite 403, Lexington, KY 40503-1400 | 2012-02-20 |
| 1366715435 | Baptist Physicians Lexington, Inc | Internal Medicine | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2012-02-20 |
| 1265726152 | Lindsey Page | Nurse Practitioner | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2011-06-08 |
| 1639402001 | Ortho Kentucky Pllc | Durable Medical Equipment & Medical Supplies | 1780 Nicholasville Rd, Ste 501, Lexington, KY 40503-1400 | 2009-09-16 |
| 1023341658 | Ortho Kentucky Pllc | Physician Assistant | 1780 Nicholasville Rd, Ste 501, Lexington, KY 40503-1400 | 2009-09-15 |
| 1154654036 | Ortho Kentucky Pllc | Orthopaedic Surgery | 1780 Nicholasville Rd, Ste 501, Lexington, KY 40503-1400 | 2009-09-10 |
| 1427203454 | Mary Jane Lagrew, M.d., LLC | Pediatrics | 1780 Nicholasville Rd, Suite 203, Lexington, KY 40503-1400 | 2008-11-18 |
| 1821256066 | Hope Cottrill | Internal Medicine | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2008-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.